Individual
BENJAMIN EDWARD ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 KELLY PL, WALLA WALLA, WA 99362-8607
(509) 522-4000
Mailing address
1270 WHITTINGTON LN, WALLA WALLA, WA 99362-9030
(509) 876-1898
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/12/2023
Last updated
09/05/2024
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